Psychiatric Associates

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD004053E Issued in PA

Legal business name

PSYCHIATRIC ASSOCIATES

Practice address

1601 Walnut Street
Suite 1312
Philadelphia, PA 19102

Phone

(215) 563-8616

Fax

(215) 895-5658

NPI assigned

Mar 10, 2010

Last updated

Mar 10, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph W. Slap, M.D.

Title

President

Phone

(215) 563-8616

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1225351885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT STREET",
            "address_2": "SUITE 1312",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-563-8616",
            "fax_number": "215-895-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT STREET",
            "address_2": "SUITE 1312",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-563-8616",
            "fax_number": "215-895-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "SLAP",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-563-8616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD004053E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524096",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Przybylo, PHARMD
• Ashley Przywitowski
• Achilleas C Psillos, MA
• Allyson Psillos, OTR/L
• Anna Psillos, CRNP
• Psychiatry Associates of FCCC
• Psychotherapy With Syd
• Psyrev8808 Transformational Center
• PT Care LLC
• PT Max Pain Management Clinic

• Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.